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The Rh Program of Nova Scotia focuses on the prevention and management of problems caused by Rh and other blood group antibodies, and provide an education and consultation service for health caregivers in this area. The Rh Program promotes the administration of Rho(D) Immune Globulin when indicated. | |
| 5850/5980 University Avenue PO Box 9700 Halifax, Nova Scotia B3K 6R8 |
Tel: (902) 470-6458 Fax: (902) 470-7468 |
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Rh Program History
Guidelines
The Society of Obstetricians and Gynaecologists of Canada (SOGC) have released a revised Guideline No. 448: Prevention of Rh D Alloimmunization in April, 2024 which replaces No. 133 dated January 2018.
The practice of safely withholding Rho(D) immune globulin before 8 weeks gestation is consistent with Nova Scotia guidelines. It is expected that Nova Scotia guidelines be followed as the current standard of care for our jurisdiction.
Please refer to the Rh Program of Nova Scotia Guideline for Perinatal Antibody Screening and Rho(D) Immune Globulin Administration
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Guideline for Perinatal Antibody Screening and Rho(D) Immune Globulin Administration (Revised August 2022) | |
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How to Administer Rho(D) Immune Globulin (Revised July 2021) | |
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Rh Prophylaxis before 8 Weeks - Early Pregnancy Complications and Medical Abortions (June 2022) | |
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Nova Scotia Prenatal Record Companion Document (May 2022)
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Forms
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Consent Form Rho(D) Immune Globulin (Revised June 2023) |
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Injection Reporting Form for Rho(D) Immune Globulin (Revised June 2021) |
A written order is required for all injections of Rho(D) immune globulin. The Order Set can be downloaded and printed for use using the link below. It can also be found on Access Passport.
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ORDER SET - Component Transfusion - Rho(D) Immune Globulin (WinRho® SDF): (Revised January 2023) |
Pamphlet for Women/Families
The pamphlet is posted on the IWK website in a web-friendly, booklet-style format (see link below). Order information is provided for IWK Health staff (through Queen’s Printer) and for Nova Scotia Health staff (through Dal Print Shop).
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The Rh Factor and Pregnancy (revised August 2022) |
To order copies of the booklet-style pamphlet (6 pages), use the links below:
- For IWK Health staff: http://pulse.iwk.nshealth.ca/subsites/page/view/?id=1711
- For Nova Scotia Health staff: https://library.nshealth.ca/Pamphlets#s-lg-box-16130919
For those who need to print a single copy of the RH FACTOR AND PREGNANCY pamphlet, the tri-fold version (English only) below can be used. Please note: the tri-fold version is not available to order through Queen’s Printer or the Dal Print Shop.
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The Rh Factor and Pregnancy tri-fold version (updated August 2022) |
Sites Administering WinRho
Please note that there are some differences in the timing of the pre-WinRho Group & Screen, based on specific local laboratory requirements
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Facilities in Nova Scotia administering outpatient (non-emergency) Rh immune globulin (WinRho®SDF), plus Instructions on "How to book your WinRho appointment" (Revised January 2024) |
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Map of Nova Scotia Facilities administering outpatient (non-emergency) Rh immune globulin (WinRho®SDF) (Revised January 2016) |
Updates (newest first)
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Rh Immune Globulin and COVID-19 Vaccination (May 2021) |
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Paternal/Donor blood typing in pregnancy (November 2023) |
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Maternal Anti-M Screenin Algorithm (March 2019) |
| Maternal Reactions to WinRho® SDF in Nova Scotia (January 2019) | |
| Rh immune globulin (WinRho® SDF) and the influenza vaccine (January 2019) | |
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Interpreting Indeterminate Rh Status of Pregnant Woman in Nova Scotia (March 2015) |